A Case of Septic Shock by Prevotella Species associated with Acute Periapical Abscess

Min Young Jung; Sung Min Ahn; Bo Youn Choi; Seung In Seo; Su Sun Kim; Hyuk Su Choi; Seung Jin Lim; Jin Seo Lee; Joong Sik Eom

doi:10.3947/ic.2012.44.2.84

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Jung, Ahn, Choi, Seo, Kim, Choi, Lim, Lee, and Eom: A Case of Septic Shock by Prevotella Species associated with Acute Periapical Abscess

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(2): 84-86.

Published online: 30 April 2012

DOI: https://doi.org/10.3947/ic.2012.44.2.84

A Case of Septic Shock by Prevotella Species associated with Acute Periapical Abscess

Min Young Jung, Sung Min Ahn, Bo Youn Choi, Seung In Seo, Su Sun Kim, Hyuk Su Choi, Seung Jin Lim, Jin Seo Lee, Joong Sik Eom

Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.

Correspondence to Joong-Sik Eom, M.D. Division of Infectious diseases, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 150 Seongnae-gil, Gandgong-gu, Seoul 134-701, Korea, Tel: +82-2-2224-2490, Fax: +82-2-488-0114, helppl@hallym.ac.kr

Received 31 August 2011 Revised 18 October 2011 Accepted 24 October 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A healthy 34-year-old man was admitted to the intensive care unit through the emergency room with a drowsy mentality and severe chilling. Following a diagnosis of septic shock of unknown origin, the patient was treated with broad spectrum antibiotics and massive hydration. After recovery of consciousness, he complained of a severe toothache that originated from the right lower teeth. Under dental consultation, he was diagnosed as having an acute periapical abscess of the right mandibular first molar. The patient underwent extraction and cyst enucleation. Gram negative bacilli isolated from blood culture on day 5 after admission were identified as Prevotella species. After receiving antibiotic treatment and undergoing dental procedures, the patient made a full recovery. We report on a case of septic shock due to infection by Prevotella species in association with an acute periapical abscess.

Keywords: Periapical abscess, Septic shock, Prevotella species

Figures and Tables

Figure 1

Unilocular radiolucent lesion on an apical area having a partial hyperostotic border with an indistinct border, involving tooth on, with no finding of root resorption was seen on panoramic X-ray.

Figure 2

A unilocular cystic lesion is observed on an apical area of the right first molar on CT scan.

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